在荧光透视和经食管超声心动图引导下，使用AngioVac抽吸装置非手术切除右心房肿物。
Non-surgical extraction of right atrial mass by AngioVac aspiration device under fluoroscopic and transesophageal echocardiographic guidance.
作者信息
Enezate Tariq H, Kumar Arun, Aggarwal Kul, Balla Sudarshan, Omran Jad
机构信息
Division of Cardiology, University of Missouri-Columbia, Columbia, MO 65201, USA.
出版信息
Cardiovasc Diagn Ther. 2017 Jun;7(3):331-335. doi: 10.21037/cdt.2016.09.03.
Abstract
Right-sided cardiac masses are commonly encountered. We present a challenging case of a right atrial thrombus in a patient who had a high surgical risk for open removal. AngioVac aspiration device, under transesophageal echocardiography (TEE) and fluoroscopy guidance, was successfully used to remove the thrombus. The patient tolerated the procedure well and was discharged home. Our case confirms the safety and efficacy of this procedure for treatment of unwanted intracardiac and intravascular masses in patients who are not candidates for conventional therapies of surgery or thrombolytics.
摘要
右侧心脏肿物较为常见。我们呈现了一例具有挑战性的病例，一名患者右心房有血栓，其接受开放性切除手术的风险很高。在经食管超声心动图（TEE）和荧光透视引导下，使用AngioVac抽吸装置成功清除了血栓。患者对该手术耐受良好，随后出院回家。我们的病例证实了该手术对于那些不适合传统手术或溶栓治疗的患者治疗心脏内和血管内不需要的肿物的安全性和有效性。
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